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The development of anticipatory action planning in children with unilateral cerebral palsy
Institution:1. Department of Paediatrics, Monash University, Clayton, Victoria, 3168, Australia;2. Behavioural Science Institute, Nijmegen, the Netherlands;3. Australian Catholic University, School of Psychology, Melbourne, Australia;4. School of Occupational Therapy, La Trobe University, Bundoora, Victoria, 3168, Australia;5. Victorian Paediatric Rehabilitation Service, Monash Children’s Hospital, 246 Clayton Rd, Clayton, Victoria, 3168, Australia;1. Department of Psychology, The University of Hong Kong, Hong Kong, China;2. Heep Hong Society, Hong Kong, China;1. Department of Child and Adolescent Psychiatry, Psychosomatics & Psychotherapy, Leopoldina Hospital, Schweinfurt, Germany;2. Department of Child and Adolescent Psychiatry, Psychosomatics & Psychotherapy, University of Würzburg, Germany;3. Department of Child and Adolescent Psychiatry, Psychosomatics & Psychotherapy, University of Giessen-Marburg, Marburg, Germany;1. Department of Paediatric Rehabilitation, University Hospital of North Norway, Tromsø, Norway;2. Department of Child and Adolescent Psychiatry, University Hospital of North Norway, Tromsø, Norway;3. Nordland Hospital Trust, Vensmoen, Norway;4. RKBU-Nord, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway;5. Department of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway;1. School of Languages, Literatures and Linguistics, Bangor University, Bangor, LL57 2DG, UK;2. Kent Business School, University of Kent, Chatham, Kent, ME4 4TE, UK;1. University of Mississippi, United States;2. University of Illinois at Urbana-Champaign, United States;3. MIND Institute and Department of Psychiatry and Behavioral Sciences, University of California, Davis, United States;4. University of Alabama, United States;1. Univ. Bordeaux, Laboratoire de Psychologie, EA 4139, F33076, Bordeaux, France;2. Euskal Herriko Unibertsitatea, Paseo de Arriola 2, 20018, San Sebastián, Spain;3. AP-HP Hôpital Marin, BP 40139, 64700, Hendaye, France
Abstract:Background Previous studies suggest that compromised bimanual performance experienced by children with unilateral cerebral palsy (CP) is not only due to difficulties in action execution but may also be a result of impaired anticipatory action planning.Aims The effect of age and side of hemiplegia were examined and the relationship between anticipatory action planning, unimanual capacity and bimanual performance was explored.Methods and procedures Using a multi-centre, prospective, cross-sectional observational design, anticipatory action planning was analyzed in 104 children with unilateral cerebral palsy, aged 6–12 years, using the sword task.Outcomes and results Anticipatory action planning did not improve with age in children with unilateral CP, aged between 6–12 years. No differences were found between children with left or right hemiplegia. Finally, anticipatory action planning was not related to unimanual capacity or bimanual performance.Conclusion and implications This study demonstrates anticipatory action planning, measured using the sword task, does not improve with age in children with unilateral CP and is not related to bimanual performance or laterality. Future studies of anticipatory action planning in children with unilateral CP should consider using measures that require effective anticipatory action planning for successful task completion rather than end state comfort.
Keywords:Cerebral palsy  Upper limb  Anticipatory action planning  motor planning  Bimanual performance
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